TR-65 KANSAS RESIDENT/BUSINESS OUT OF STATE VIN …

1 KANSAS . DEPARTMENT OF REVENUE KANSAS RESIDENT/BUSINESS . DIVISION OF VEHICLES. OUT OF STATE VIN VERIFICATION. Reverse side (page 2) has Instructions and Additional Information Part I OWNER DECLARATION (To be completed by vehicle owner). I, the under signed, certify that I have a title issued by another STATE or country for vehicle described below which has been assigned to me by the owner of the vehicle and the vehicle is located outside of KANSAS due to the qualifying reason checked below: (Check one and explain). KANSAS resident on active military duty stationed out-of- STATE , KANSAS resident attending an out-of- STATE college, university or school, Application for KANSAS apportioned registration, KANSAS resident or business temporarily* out of KANSAS .

2 Date the vehicle will be returned to KANSAS : * Reason: Explanation: I further certify that the foregoing is true and correct. I understand that by submitting this form with an application for KANSAS title and registration I. agree to any and all requirements indicated on this form and any additional requirements as determined by the KANSAS Division of Vehicles and/or the KANSAS Highway Patrol. All decisions by the Division and/or the Patrol are final. Owner's printed name Owner's signature Date Owner's Out of STATE Address City STATE ZIP. Owner's KANSAS Address City STATE ZIP. Part II VIN VERIFICATION (Must be completed by Law Enforcement Officer) Must be Typed or Completed in Ink.

3 vehicle identification Number Year Make Model Body Style Color Title Issued by the STATE of Title Number Odometer Reading (No Tenths). Title branded (labeled)? No Yes, as: Salvage Rebuilt/Restored Salvage Other: SUPPORTING DOCUMENTS: (Check one) Agrees with VIN Disagrees with VIN No VIN on documents See Remarks Remarks: I certify that I am a law enforcement officer and I have physically examined the vehicle and title described herein and the information matches and is true and correct to the best of my knowledge. I have checked the VIN through the FEDERAL. STOLEN vehicle FILE (NCIC) and no record was found. Name of Officer (Print) Title Badge/ID Number Officer Signature Date Law Enforcement Agency Telephone ( ) email Agency's Address City STATE ZIP.

4 ALTERATIONS OR ERASURES WILL VOID THIS FORM. TR-65 (Rev. 06/07) Previous versions of this form are subject to requirements listed herein. VIN VERIFICATION WHEN KANSAS RESIDENT TEMPORARY LOCATED IN ANOTHER STATE . KANSAS law (KSA 8-116a) requires before an application for a KANSAS title and/or registration can be accepted for a vehicle surrendering a title issued by another jurisdiction (or purchased on a bill of sale, if applicable) as proof of ownership, the vehicle and the non- KANSAS title or ownership document must be inspected to ensure that vehicle identification number shown on the non- KANSAS title is genuine and agrees with the identification number on the vehicle and a Motor vehicle Examination Certificate (MVE-1 Form) must be completed by the KANSAS Highway Patrol or their designee.

5 When a KANSAS RESIDENT/BUSINESS is making application for KANSAS title and/or registration and has selected reason 1, 2 or 3 below, this form may be used in lieu of the MVE-1 form. If reason 4 is selected, this TR-65 form will only be accepted to submit the application for title and/or registration. Upon returning the vehicle to KANSAS an MVE-1 form must be obtained from the KANSAS Highway Patrol or their designee. When reason 4 is selected, renewing the registration for the vehicle with a pending title application awaiting the MVE-1 form must be pre-approved by the division and can only be approved one time. The Titles & Registrations Bureau must receive the MVE-1 form before the certificate of title will be issued.

6 WHO QUALIFIES TO USE THE TR-65 FORM? To qualify for an Out-of- STATE VIN Verification in lieu of the MVE-1 the KANSAS RESIDENT/BUSINESS must meet one of the following: 1. Resident is on active military duty stationed in another STATE , or;. 2. Resident is attending a college, university or school in another STATE as a full time student, or;. 3. (Resident or Business) Any out-of- STATE title application for KANSAS apportioned registration that requires a VIN inspection (MVE-1) and the vehicle is not in KANSAS , or;. 4. Resident or business vehicle is temporarily in another STATE for reasonable cause ( on a short term basis, seasonal resident, etc.)

7 INSTRUCTIONS FOR COMPLETION OF OWNER DECLARATION section . The vehicle owner must check the applicable box regarding the reason the vehicle is out-of- STATE and provide a brief explanation regarding the circumstances. If the RESIDENT/BUSINESS vehicle is temporarily out-of- STATE (reason 4 above), the owner must indicate the approximate date of return to KANSAS and the reason for being out-of- STATE in the spaces provided. The owner must print their name and address in the appropriate areas. The owner's legal signature is required certifying that the vehicle is temporarily located out-of- STATE due to one of the qualifying reasons and the information is true and correct.

8 INSTRUCTIONS FOR COMPLETION OF VIN VERIFICATION section . NOTICE - VIN VERIFICATION MUST BE PERFORMED BY A LAW ENFORCEMENT OFFICER. The law enforcement officer should examine the out-of- STATE title/ownership document for authenticity. The out-of- STATE title/ownership document must be free of erasures, whiteout, or altered data. (A faxed copy of the front and back of the title from the lien holder or lessor will be acceptable.). The law enforcement officer must examine the public VIN on the vehicle , verifying there is no evidence of tampering with the VIN. plate or attachments, compare the public identification number on the vehicle to the VIN number on the title/ownership document and record the VIN in the spaces provided on the form.

9 Any discrepancies must be noted in the Remarks section . Additionally, the officer must provide the vehicle and title information in the spaces provided. Mark the appropriate box concerning if the title has been branded/labeled by the jurisdiction that issued the certificate. Check the appropriate box regarding whether the supporting documents ( title/ownership documents) agrees/disagrees with VIN, etc. The Remarks section may be used to record any other information the officer determines may be of importance. All vehicle identification numbers discovered during the verification process must be checked through NCIC. If a stolen record is received the officer should respond according to the officer's agency/department policy and/or STATE or local laws.

10 The law enforcement officer's signature will certify that he/she is a law enforcement officer and has physically examined the vehicle and title described on the ownership documents and the information is true and correct to the best of his/her knowledge, and verify that no stolen record was found in the Federal or States vehicle files (NCIC). There will be no fee collected for the STATE of KANSAS on an out-of- STATE VIN verification utilizing this form. POSSIBLE ADDITIONAL REQUIREMENTS. If during the VIN verification procedure, a discrepancy is determined with either the vehicle identification number or the title document further documentation may be required by the STATE of KANSAS .